Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran, Iran; Student's Scientific Research Center, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
J Clin Neurosci. 2020 Jul;77:81-84. doi: 10.1016/j.jocn.2020.05.034. Epub 2020 May 20.
Migraine is a common type of headaches and disabling disorder. Based on evidences dehydration is closely related to promote migraine headcahe frequency and severity. The Water intake is the best intervention to reduce or prevent headache pain. water intake in migraine patients has rarely been studied. the present study aimed to evaluate the relation between water intake and headache properties in migraine.
The present study was conducted using a cross-sectional design on 256 women 18-45 years old referred to neurology clinics for the first time. The diagnosis of migraine by a neurologist the according to ICHD3 criteria and To assess migraine severity the Migraine disability assessment questionnaire (MIDAS), visual analog scale (VAS), and a 30-day headache diary were used. One-way analysis was used to evaluate the associations between MIDAS and VAS with daily water intake. Pearson correlation analysis was used to evaluate the relationship between the number of days and duration of headache with daily water intake. Data were analyzed using SPSS software and P-values < 0.05 considered statistically significant.
The results showed that the severity of migraine disability (P < 0.001), pain severity (P < 0.001), headaches frequency (P < 0.001), and duration of headaches (P < 0.001) were significantly lower in those who consumed more water or total water.
The present study found a significant negative correlation between daily water intake and migraine headache characteristics but further clinical trials are needed to interpret the causal relationship.
偏头痛是一种常见的头痛类型和致残性疾病。基于证据表明，脱水与偏头痛发作频率和严重程度密切相关。饮水是减少或预防头痛的最佳干预措施。然而，偏头痛患者的饮水量很少受到研究。本研究旨在评估饮水量与偏头痛头痛特征之间的关系。
本研究采用横断面设计，对 256 名 18-45 岁首次到神经内科就诊的女性进行研究。偏头痛的诊断由神经病学家根据 ICHD3 标准进行，偏头痛严重程度采用偏头痛残疾评估问卷 (MIDAS)、视觉模拟量表 (VAS) 和 30 天头痛日记进行评估。采用单因素分析评估 MIDAS 和 VAS 与每日饮水量之间的关联。采用 Pearson 相关分析评估头痛天数和持续时间与每日饮水量之间的关系。数据分析采用 SPSS 软件，P 值<0.05 认为具有统计学意义。
结果表明，在摄入更多水或总水量的患者中，偏头痛残疾严重程度（P<0.001）、疼痛严重程度（P<0.001）、头痛发作频率（P<0.001）和头痛持续时间（P<0.001）显著降低。
本研究发现每日饮水量与偏头痛头痛特征之间存在显著负相关，但需要进一步的临床试验来解释因果关系。
